How does a Physical Therapist Engage in Postural Restoration Integrative Multidisciplinary Engagement™ (PRIME)?

• Works as case managers to assist with triage, intake and organizing and streamlining the plan of care
• Coordinates integration of team members during fabrication of sensory orthotics constantly assuring maintenance of postural neutrality.
• Establishes and instructs patient in activities to learn new patterns of movement once appropriate postitions are established with new sensory references/orthotics keeping PRI principles in mind.
• Offers consultation and recommendations to the patient, family members, significant others and various health care providers for improved carryover of the treatment plan.

In PRI Vision, Dr. Heidi Wise, an optometrist, and Ron Hruska, a physical therapist, will evaluate the patient together. This results in the following:

• Finding a specific eyeglass prescription to change the visual input to the brain that will assist the patient in achieving a new postural position by changing the messages the brain sends to the body to respond to that input. This will inhibit overactive patterns that restrict the body’s ability to learn new patterns. This is a successful way to change the activity of muscles even when other methods have been unsuccessful.
• One or more prescriptions for training eyewear to accomplish this goal will be given.
• Recommendations and guidance for visual clarity needs that are integrated with the physical needs of the individual patient.
• Overall treatments guidelines for the anticipated sequence, level, and type of integrated activity needed to eliminate visual and neurological interferences to physical progress will be shared with all the disciplines working directly with the patient.

• The Postural Dental Specialist identifies any occlusal or dental related issues that are contributing to cervical and postural painful patterns.
• Specific mouth appliances are fabricated while the patient is in a neutral position, as assessed by the case managing PT, to establish appropriate occlusal reference and guidance for head and neck position and movement. This will allow increased carryover of neutrality, during a period of time where new movement patterns are being learned and experienced.
• Appropriate reference and sensory input from a joint call the temporo-mandibular joint (TMJ), is respected and maximized in a state called “neutrality” while occlusion is assessed and stabilized.
• Airway management, to allow one to sleep, and work without losing diaphragmatic function may also be addressed.
• The Postural Dental Specialist will make referrals and recommendations, when necessary, to other health care and dental specialists, so that all goals of the patient and team members can be met.

Click"Postural Restoration and Orthodontics" above to read more from Dr Rebecca Hohl on how they integrate their practice with us for PRIME and other Hruska Clinic patients that require integrative care.

How does a Podiatrist Engage in Postural Restoration Integrative Multidisciplinary Engagement™ (PRIME)?

• Provides appropriate sensory reference, through biomechanically correct, custom-fit orthotics and/or shoe recommendations, from the floor up during upright weighted activity to assist in maintaining appropriate upright position of neutrality that matches and compliments the other sensory input the patient is now receiving.
• Analyzes the impact their feet and gait have on the patient’s overall postural health
• Consults with the PRIME team to ensure the orthotics compliment the patient’s ongoing therapy program.

You

How do YOU Engage in Postural Restoration Integrative Multidisciplinary Engagement™ (PRIME)?

• We expect each patient to consider this as an engagement with us rather than a program designed for you
• Each patient will be responsible for engaging with the PRIME team prior to coming to Lincoln by facilitating information release to us to allow us to help you in the most efficient way possible.
• Each patient will be encouraged to engage with each professional while in Lincoln, and once you go home, asking any and all questions needed to ensure you are informed and educated in what and why things are done the way they are
• Each patient will be expected to engage with the program by following through with recommended activities and orthotic use to maximize outcomes
• We encourage each patient to have a support person such as spouse, family member or close friend whenever possible attend PRIME activities to be able to engage with you to facilitate improved outcomes